uu.seUppsala University Publications
Change search
ReferencesLink to record
Permanent link

Direct link
Measuring the frequency of functional gastrointestinal disorders in rural Crete: a need for improving primary care physicians' diagnostic skills
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Family Medicine and Clinical Epidemiology.
Show others and affiliations
2005 (English)In: Rural Remote Health, ISSN 1445-6354, Vol. 5, no 3, 409- p.Article in journal (Refereed) Published
Abstract [en]

Introduction: Studies of the frequency and aetiology of functional gastrointestinal disorders in the general population have received increasing interest over the past few years; the field seems to be neglected in Southern Europe. The aim of this study was to report on the frequency of functional dyspepsia (FD), irritable bowel syndrome (IBS) and gastroenteritis within the primary care setting, to provide some information on the extent to which the recorded diagnoses in the physicians’ notes fulfil existing diagnostic criteria. Method: A retrospective study was used, where all new cases of these diseases at five primary health care centres in three rural and two semi-rural areas of Crete were identified by scrutinising medical records from 280 000 consecutive visits during a 4 year period. The occurrence rate per 1000 person-years were calculated for the three conditions. We also checked the extent to which the Talley’s criteria for FD and Rome II diagnostic criteria for IBS were followed. Results: Gastroenteritis was revealed to be a quite frequent health problem among the rural population on Crete, while the occurrence rates for other problems, such as dyspepsia and IBS, were found to be lower than expected. IBS was over-represented among women compared with men, OR 2.04 (CI 1.39-3.00). In many cases a diagnosis of FD, IBS or gastroenteritis was evident to the research team on the basis of findings recorded in the notes, but the diagnosis was not recorded by the clinician at the time of consultation. Conclusions: This study yielded two key messages: the first that gastroenteritis is still a frequent health problem, and the second that primary care physicians in rural Crete seem to fail in adequately diagnosing FD and IBS and need further training.

Place, publisher, year, edition, pages
2005. Vol. 5, no 3, 409- p.
Keyword [en]
Adolescent, Adult, Age Distribution, Aged, Aged; 80 and over, Clinical Competence/statistics & numerical data, Dyspepsia/diagnosis/epidemiology, Female, Gastroenteritis/diagnosis/epidemiology, Gastrointestinal Diseases/*diagnosis/*epidemiology, Greece/epidemiology, Humans, Incidence, Irritable Bowel Syndrome/diagnosis/epidemiology, Male, Middle Aged, Needs Assessment, Primary Health Care/*statistics & numerical data, Research Support; Non-U.S. Gov't, Retrospective Studies, Rural Health Services/*statistics & numerical data, Sex Distribution
National Category
Medical and Health Sciences
URN: urn:nbn:se:uu:diva-83353PubMedID: 16108701OAI: oai:DiVA.org:uu-83353DiVA: diva2:111261
Available from: 2006-11-01 Created: 2006-11-01 Last updated: 2011-08-15Bibliographically approved

Open Access in DiVA

No full text

Other links


Search in DiVA

By author/editor
Wallander, Mari-Ann
By organisation
Family Medicine and Clinical Epidemiology
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 151 hits
ReferencesLink to record
Permanent link

Direct link